Well, the disappointment didn’t take long in coming

Today, I got my second appointment with the new neurologist. After spending 3 hours absorbing the magic healing rays that are evidently given off by an empty exam room and a rack full of magazines that don’t interest me, (broken up by 15 minutes answering questions from a different PA than last time, most of which were already in my file), I got to see the doctor. And he did the physical exam that I’m already too familiar with, having had it more times than I can count, involving moving my kneecap around, pressing on my legs and knees, and all that shit, only to hear the all-too-familiar word “chondromalacia”. Yup, the same diagnosis[1] that I’ve had since I was 15. And since we’re on the endless repeat cycle, I know what’s going to come next – some barely effective anti-inflammatory pills and some physiotherapy that makes the problem far worse.

I might as well forget it – I’m never going to be pain free, and even a reduction in pain or a reduction in the amount of increase in pain over time is too much to hope for. Trying a new doctor has been a complete waste of time, and used up even more of my ever dwindling bag of hope. It’s times like this I wonder how much more of this pain I can stand before I just have to end it all.

Meanwhile, I took some drug that he wanted me to try last night, and woke up feeling sleepy, mildly nauseated and headachy. The PA referred to it as a “hangover”, I assume in a medical sense just meaning a side effect that carries on the next day, but that’s exactly what it felt like, like I’d tied one on last night. And after the 3.5 hour doctor’s appointment (plug half an hour travel time each way) made me two hours late for lunch, I was really feeling sick. I was seriously considering just going home and lying down on the bed and crying for the rest of the day. But instead I grabbed some lunch, and after a few hours I can almost look at a computer screen without feeling like I’m going to barf. I still feel like crying.

[1] Wikipedia says “chondromalacia” isn’t a diagnosis, just a description of the pain. Big fucking deal – it also says the usual treatment is anti-inflammatories, physiotherapy, and “treatment of any underlying cause of the pain”. Well, since nobody has ever discovered the underlying cause of the pain, after X-Rays, MRIs, and arthroscopic surgery, that comes back to the same treatment plan that’s been tried and failed a dozen times already.

Kayak Racing: 24.13 Woo hoo! I rule!

Last Thursday I went for a private lesson with Dan. It went so well that I confidently boasted to somebody that not only would I beat my person best, 24.60, but I’d demolish it with a 24.30. Instead, I not only demolished it, I jumped up and down on the pieces. 24.13. My split was 11.88, compared to my previous best of 12.00, so much of that improvement came in the second half, where my improved technique on both halves of the course meant I had more energy and didn’t have to stop paddling to take a drink several times in the last quarter as I’ve done so many times in the past.

I took a stop watch this time and recorded split times at both buoy turns as well, but I forgot and reset the watch before I recorded them. Oh well, maybe next time.

With my technique and conditioning improving, I’m convinced that the only other factor I need to work on is the fact that I’m paddling a heavy plastic boat. Time to get back out into the garage and finish my Arctic Tern 17 Hi.

Kayak Racing: 25.00 – Not a personal best, but still fun

Ok, I was slower today – 25.00 instead of 24.60. Most people beat their personal best. I guess that’s what I get for missing a week. But we’ve had so much rain this summer that the creek is still running well, and there is still a good crowd coming out, so they’ve decided to run the races for a few more weeks.

On the way out, I was trying to paddle right, but as I passed the split, Dan yelled at me to push the paddle in at the catch and then pull, instead of pulling as the paddle went in, or words to that effect. Once I figured out what he meant, I fixed my catch and also started working on what my upper arm was doing on the power stroke, which gave me better rotation. And it was good, the boat was moving fast. Unfortunately by that time I was too tired and I could do a good stroke about 5 or 10 strokes and then had to rest. That’s why my split time was 0.30 slower than my previous best, and my total time was 0.40 slower.

Dare to hope, prepare to be disappointed?

(No, this isn’t an Obama post.)

I went to see a new doctor yesterday. This was the first time Vicki has managed to convince me to convince a doctor to give me a referral to a neurologist. I’ve asked before, and the doctors always said “no, it’s not neurological”, and then given up on finding an orthopeadic or other cause. This time, I got my doctor to promise that after his idea failed, he’d refer me to a neurologist. And it did, and he did.

I hate to get my hopes up, but this guy (or rather his physician’s assistant) outlined a multi-pronged approach to figuring out how much of it is orthopeadic, how much is neurological, how much is caused by sleep apnea (evidently apnea can make you more susceptible to pain – who knew?), how much is due to rheumatoid arthris, etc. I’ve got a blood test script here (Comprehensive Metabolic, CBC + Platelet, Sed Rate, Protein Electrophresis, C-Reactive Protien WR, Creatine Kinase (CK), Angiotensin-1-Conv Enzime, ANA, Anti-Cardiolipn Ab, Lyme Antibody), then I’m going to have three days of a powerful steroidal anti-inflammatory (can’t remember the name, but I’ll never be allowed to compete in the Tour de France now), and three days of a powerful neurological drug. All I have to do is figure out how to accurately compare one day’s pain to another, something I’ve never been able to do. They’re also talking about various tests of nerve function and sleeping with a pulse oximeter and maybe even a sleep study.

Anyway, keep your fingers crossed for me. I would give my left knee to be able to cross country ski again.